骨内神经鞘瘤的临床研究进展

Clinical research progress of intraosseous schwannoma

神经鞘瘤又称施万细胞瘤,是施万细胞来源的良性神经鞘肿瘤,由于组织结构呈纤维样形态,早期被命名为神经纤维瘤,好发于头颈部和四肢曲侧面,最常受累于颈神经、迷走神经、腓神经及尺神经。因骨内感觉纤维较少,使其发生在骨组织中较为罕见,术前极易误诊为骨源性低度恶性肿瘤而导致过度治疗。文章通过对骨内神经鞘瘤的临床特点、影像学表现、病理学特点、鉴别诊断及其治疗方式的研究进行总结,以期为临床提供诊疗思路。

Schwannoma,also known as Schwann cell tumor,is a benign neural sheath tumor derived from Schwann cells.Due to the fibrous tissue structure,it was named neurofibromatosis(NF)in the early stage.It usually occurs in the head,neck,and the curved side of the limbs,and the most commonly affected nerves are cervical nerve,vagus nerve,peroneal nerve,and ulnar nerve.Due to the lack of intraosseous sensory fibers,it is rare to occur in bone tissue,and it is easy to be misdiagnosed as osteogenetic low-grade malignant tumors before surgery,leading to overtreatment.This article summarizes the clinical characteristics,imaging features,pathological characteristics,differential diagnosis,and treatment methods of intraosseous Schwann cells,in order to provide ideas for clinical diagnosis and treatment.